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“HESI MED SURG PRACTICE MODE NAXLEX,
HESI EXIT 3, EXIT 2 ON NAXLEX 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
don't miss any practice revision materials contact me +254111429458
Hesi Med Surg Practice mode naxlex, HESI exit 3, exit 2 on NAXLEX
An older adult client with symptoms of osteoarthritis asks the nurse which
form of exercise would be most beneficial. Which is the best response by the
nurse?
A Jogging or running are excellent aerobic exercises.
B Limit your exercise to just your daily activities.
C Tennis or racquetball will increase your muscle strength.
D Swimming is an excellent exercise for you.
D Swimming is an excellent exercise for you.
Swimming is a low-impact exercise that is gentle on the joints and can provide
numerous benefits for individuals with osteoarthritis. The buoyancy of water reduces
stress on the joints while allowing for a full range of motion, making swimming an
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ideal exercise for improving joint flexibility, muscle strength, and cardiovascular
fitness without exacerbating symptoms of osteoarthritis. Additionally, swimming can
help relieve joint pain and stiffness and improve overall physical function in older
adults with osteoarthritis.
After initiating a steroid nebulizer treatment for a client with asthma in
respiratory distress, which intervention is most important for the nurse to
implement?
A Determine exposure to asthmatic triggers
B Teach proper use of a rescue inhaler
C Elevate the head of bed to 90 degrees.
D Monitor pulse oximetry every 2 hours.
C Elevate the head of bed to 90 degrees.
Elevating the head of the bed to 90 degrees (semi-Fowler's position) can help
improve respiratory mechanics and lung expansion, making breathing easier for the
client. This position can also help reduce the risk of aspiration and improve
oxygenation in clients with respiratory distress.
A client with draining skin lesions of the lower extremity is admitted with
possible methicillin resistant Staphylococcus aureus (MRSA). What nursing
intervention (s) should the nurse include in the plan of care? Select all that
apply.
A Use standard precautions and wear a mask
B Monitor the client's white blood cell count.
C Send wound drainage for culture and sensitivity.
D Explain the purpose of a low bacteria diet.
E Institute contact precautions for staff and visitors.
A. Use standard precautions and wear a mask
C. Send wound drainage for culture and sensitivity.
E. Institute contact precautions for staff and visitors.
A client presents with the onset of a severe headache, fever, nuchal rigidity,
and a petechial rash on arms and legs. The nurse recognizes the client is
exhibiting symptoms of which condition?
A Meningococcal meningitis.
B Cerebrovascular accident (CVA).
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C Intracerebral hemorrhage.
D Rocky mountain spotted fever.
A Meningococcal meningitis.
Meningococcal meningitis is a bacterial infection of the meninges (the protective
membranes covering the brain and spinal cord) caused by the bacterium Neisseria
meningitidis. It is characterized by symptoms such as severe headache, fever,
nuchal rigidity (stiff neck), and a petechial rash on the skin. The petechial rash is a
distinguishing feature of meningococcal meningitis and is caused by bleeding into
the skin due to disseminated intravascular coagulation (DIC) associated with the
infection.
The nurse is caring for a client who had a cholecystectomy two days ago. The
client is febrile, reporting upper abdominal pain radiating to the back, and has
had three episodes of vomiting in the last 8 hours. The nurse reviews the
client's serum amylase and lipase level results which are twice the normal
value. Based on these findings, the nurse should recognize the client is
exhibiting symptoms of which condition?
A Hepatorenal failure.
B Acute pancreatitis.
C Biliary duct obstruction.
D Surgical site infection.
B Acute pancreatitis.
Acute pancreatitis is inflammation of the pancreas that can cause severe upper
abdominal pain, which may radiate to the back, fever, and vomiting. Elevated serum
amylase and lipase levels are characteristic laboratory findings in acute pancreatitis,
indicating pancreatic injury or inflammation. The client's symptoms and laboratory
results are consistent with acute pancreatitis.
A client with chronic kidney disease on peritoneal dialysis exhibits redness,
tenderness, and drainage around the catheter site on the abdominal wall.
While planning care, the nurse is most concerned about preventing which
complication related to these findings?
A Outflow obstruction.
B Exit site infection.
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C Atelectasis
D Peritonitis.
B Exit site infection.
Redness, tenderness, and drainage around the catheter site are classic signs of an
exit site infection in peritoneal dialysis. Exit site infections are a common
complication of peritoneal dialysis and can lead to more serious complications, such
as peritonitis, if not promptly treated. Preventing exit site infections through proper
catheter care and hygiene is essential in peritoneal dialysis management.
A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation
and is being treated with a corticosteroid. The client develops a rigid abdomen
with rebound tenderness. Which action should the nurse take?
A Encourage ambulation in the room.
B Measure capillary glucose level.
C Monitor for bloody diarrheal stools
D Obtain vital sign measurements.
D Obtain vital sign measurements.
Vital sign measurements, including blood pressure, heart rate, respiratory rate, and
temperature, are essential for assessing the client's hemodynamic stability and
overall condition. A rigid abdomen with rebound tenderness suggests a potential
surgical emergency, such as bowel perforation, which could lead to sepsis and
hemodynamic instability. Therefore, obtaining vital sign measurements promptly will
help determine the severity of the client's condition and guide further interventions.
The nurse is preparing an older adult client for a magnetic resonance imaging
(MRI) with contrast. Which laboratory value should the nurse report to the
healthcare provider before the scan is performed?
Reference Range:
Glycosylated Hemoglobin (4% to 5.9% ]
Creatinine 10.6 to 1.2 mg/dL (53 to 106 μmol/L)]
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
Blood Urea Nitrogen [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]
A Fasting blood sugar of 200 mg/dl. (11.1 mmol/L).
B Serum creatinine of 1.9 mg/dl. (168 μmol/l)
“HESI MED SURG PRACTICE MODE NAXLEX,
HESI EXIT 3, EXIT 2 ON NAXLEX 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
don't miss any practice revision materials contact me +254111429458
Hesi Med Surg Practice mode naxlex, HESI exit 3, exit 2 on NAXLEX
An older adult client with symptoms of osteoarthritis asks the nurse which
form of exercise would be most beneficial. Which is the best response by the
nurse?
A Jogging or running are excellent aerobic exercises.
B Limit your exercise to just your daily activities.
C Tennis or racquetball will increase your muscle strength.
D Swimming is an excellent exercise for you.
D Swimming is an excellent exercise for you.
Swimming is a low-impact exercise that is gentle on the joints and can provide
numerous benefits for individuals with osteoarthritis. The buoyancy of water reduces
stress on the joints while allowing for a full range of motion, making swimming an
, Page 2 of 106
ideal exercise for improving joint flexibility, muscle strength, and cardiovascular
fitness without exacerbating symptoms of osteoarthritis. Additionally, swimming can
help relieve joint pain and stiffness and improve overall physical function in older
adults with osteoarthritis.
After initiating a steroid nebulizer treatment for a client with asthma in
respiratory distress, which intervention is most important for the nurse to
implement?
A Determine exposure to asthmatic triggers
B Teach proper use of a rescue inhaler
C Elevate the head of bed to 90 degrees.
D Monitor pulse oximetry every 2 hours.
C Elevate the head of bed to 90 degrees.
Elevating the head of the bed to 90 degrees (semi-Fowler's position) can help
improve respiratory mechanics and lung expansion, making breathing easier for the
client. This position can also help reduce the risk of aspiration and improve
oxygenation in clients with respiratory distress.
A client with draining skin lesions of the lower extremity is admitted with
possible methicillin resistant Staphylococcus aureus (MRSA). What nursing
intervention (s) should the nurse include in the plan of care? Select all that
apply.
A Use standard precautions and wear a mask
B Monitor the client's white blood cell count.
C Send wound drainage for culture and sensitivity.
D Explain the purpose of a low bacteria diet.
E Institute contact precautions for staff and visitors.
A. Use standard precautions and wear a mask
C. Send wound drainage for culture and sensitivity.
E. Institute contact precautions for staff and visitors.
A client presents with the onset of a severe headache, fever, nuchal rigidity,
and a petechial rash on arms and legs. The nurse recognizes the client is
exhibiting symptoms of which condition?
A Meningococcal meningitis.
B Cerebrovascular accident (CVA).
, Page 3 of 106
C Intracerebral hemorrhage.
D Rocky mountain spotted fever.
A Meningococcal meningitis.
Meningococcal meningitis is a bacterial infection of the meninges (the protective
membranes covering the brain and spinal cord) caused by the bacterium Neisseria
meningitidis. It is characterized by symptoms such as severe headache, fever,
nuchal rigidity (stiff neck), and a petechial rash on the skin. The petechial rash is a
distinguishing feature of meningococcal meningitis and is caused by bleeding into
the skin due to disseminated intravascular coagulation (DIC) associated with the
infection.
The nurse is caring for a client who had a cholecystectomy two days ago. The
client is febrile, reporting upper abdominal pain radiating to the back, and has
had three episodes of vomiting in the last 8 hours. The nurse reviews the
client's serum amylase and lipase level results which are twice the normal
value. Based on these findings, the nurse should recognize the client is
exhibiting symptoms of which condition?
A Hepatorenal failure.
B Acute pancreatitis.
C Biliary duct obstruction.
D Surgical site infection.
B Acute pancreatitis.
Acute pancreatitis is inflammation of the pancreas that can cause severe upper
abdominal pain, which may radiate to the back, fever, and vomiting. Elevated serum
amylase and lipase levels are characteristic laboratory findings in acute pancreatitis,
indicating pancreatic injury or inflammation. The client's symptoms and laboratory
results are consistent with acute pancreatitis.
A client with chronic kidney disease on peritoneal dialysis exhibits redness,
tenderness, and drainage around the catheter site on the abdominal wall.
While planning care, the nurse is most concerned about preventing which
complication related to these findings?
A Outflow obstruction.
B Exit site infection.
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C Atelectasis
D Peritonitis.
B Exit site infection.
Redness, tenderness, and drainage around the catheter site are classic signs of an
exit site infection in peritoneal dialysis. Exit site infections are a common
complication of peritoneal dialysis and can lead to more serious complications, such
as peritonitis, if not promptly treated. Preventing exit site infections through proper
catheter care and hygiene is essential in peritoneal dialysis management.
A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation
and is being treated with a corticosteroid. The client develops a rigid abdomen
with rebound tenderness. Which action should the nurse take?
A Encourage ambulation in the room.
B Measure capillary glucose level.
C Monitor for bloody diarrheal stools
D Obtain vital sign measurements.
D Obtain vital sign measurements.
Vital sign measurements, including blood pressure, heart rate, respiratory rate, and
temperature, are essential for assessing the client's hemodynamic stability and
overall condition. A rigid abdomen with rebound tenderness suggests a potential
surgical emergency, such as bowel perforation, which could lead to sepsis and
hemodynamic instability. Therefore, obtaining vital sign measurements promptly will
help determine the severity of the client's condition and guide further interventions.
The nurse is preparing an older adult client for a magnetic resonance imaging
(MRI) with contrast. Which laboratory value should the nurse report to the
healthcare provider before the scan is performed?
Reference Range:
Glycosylated Hemoglobin (4% to 5.9% ]
Creatinine 10.6 to 1.2 mg/dL (53 to 106 μmol/L)]
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
Blood Urea Nitrogen [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]
A Fasting blood sugar of 200 mg/dl. (11.1 mmol/L).
B Serum creatinine of 1.9 mg/dl. (168 μmol/l)
